The reputation of the surrogacy industry in India has been tainted on numerous occasions by revelations about the inappropriate way it is conducted and the negative impact on surrogate mothers. In fact, operating conditions have been highlighted together with the lack of protection in medical emergencies (death of the child, etc.) – "This gives a poor image to the profession and the country because almost 50% of couples using surrogacy in India come from abroad."
The law is, however, dragging its heels when it comes to drafting recommendations to protect these financially vulnerable women. The Indian Society for Third-Party Assisted Reproduction (INSTAR) has been commissioned to propose ethical recommendations. These include the unprecedented drafting of documents in the women’s native language.